NPI | 1801402656 |
---|---|
Other Name | DESICARE LLC |
Entity Type | Organization |
Authorized Contact | CHERYL MICHELE JONES President/CEO 301-768-7122 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2020-09-17 |
Last Update Date | 2021-12-14 |